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Door-to-treatment audit
1 · Door time
Tap Now when the patient arrives. Stroke, trauma, ACS, anaphylaxis and seizures also take onset time, so the lysis, TXA, anti-D and tryptase clocks run from it.
2 · Stamp each step
Tap Now as the ECG, antibiotic, CT or scope happens. Tick N/A for branches that don't apply to this patient.
3 · Print and hand over
Print or save a one-page PDF for the file, or copy the delay report into the management group. Patient details are never saved.
Acute coronary syndrome
9 timed milestones · reperfusion window
Sepsis and septic shock
9 timed milestones
Acute stroke (code stroke)
7 timed milestones · lysis window, thrombectomy window
Major trauma
8 timed milestones · txa window
Upper GI haemorrhage
9 timed milestones
Diabetic ketoacidosis (adult)
7 timed milestones
Anaphylaxis
7 timed milestones
Polytrauma in pregnancy
9 timed milestones · txa window, anti-d window
Paediatric sepsis and septic shock
10 timed milestones
Convulsive status epilepticus
9 timed milestones · ilae t2: brain-injury risk, seizure control target
Acute pulmonary oedema
10 timed milestones
Severe hyperkalaemia
9 timed milestones
Guideline targets are marked with their source. Targets marked “local” are suggestions: set your own, and have them approved by your quality committee before you audit against them. A breach report is for improving the system, not for blaming the person on shift.